Korean J Gastrointest Endosc > Volume 30(1); 2005 > Article
Korean Journal of Gastrointestinal Endoscopy 2005;30(1): 39-42.
십이지장 궤양 출혈에 대한 색전술 후 궤양 저부에 노출된 코일 1예
조영철·정인두·조근형·신수진·김현수·이효섭·신정우·방성조·박능화·황재철*·김도하
울산대학교 의과대학 울산대학교병원 내과, *진단방사선과
Endoscopically Exposed Coil after Embolization for Bleeding Duodenal Ulcer
Young Chul Jo, M.D., In Du Jeong, M.D., Kun Hyung Cho, M.D., Su Jin Sin, M.D., Hyun Soo Kim, M.D., Hyo Sup Lee, M.D., Jeong Woo Shin, M.D., Sung Jo Bang, M.D., Neung Hwa Park, M.D., Jae Cheol Hwang, M.D.* and Do Ha Kim, M.D.
Departments of Internal Medicine and *Diagnostic Radiology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
Abstract
Endoscopy has been the method of choice for the initial diagnosis and treatment of gastrointestinal bleeding. However, in the case of difficult localization or endoscopic failure, angiographic or surgical alternative may be recommended. The role of angiography has been emphasized recently to control upper GI bleeding. We experienced a case with deep ulcer displaying exposed vessel along the duodenal bulb, which imposed serious rebleeding risk. Although, active bleeding was controlled by the epinephrine injections in that patient, rebleeding risk was still high. So the patient underwent emergency angiography with embolization of the pancreaticoduodenal artery and gastroduodenal artery using multiple microcoils. Follow-up endoscopic examinations showed a coil protruding into the lumen from the ulcer bed, and the exposed coil at the ulcer base was completely by the regenerated epithelium three months later. Here in, we describe the rare case of a endodcopically exposed coil after embolization for bleeding duodenal ulcer which is the first case ever reported in Korea. (Korean J Gastrointest Endosc 2005;30:39⁣42)
Key Words: 십이지장 궤양, 동맥 색전술, 코일
주요어: Duodenal ulcer, Transcatheter embolization, Coil
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